Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.50 / $3,902.10 / $6,915.00	Facility		$1,312.50	$3,902.10	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $164.01 / $164.01 / $2,063.00	Facility	52	$164.01	$164.01	$2,063.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $65.59 / $65.59 / $116.95	Facility	53	$65.59	$65.59	$116.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.05 / $449.78 / $719.19	Professional		$324.05	$449.78	$719.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.64 / $447.06 / $610.51	Professional		$319.64	$447.06	$610.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $2,236.86 / $4,819.75	Facility		$576.79	$2,236.86	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.29 / $559.15 / $878.70	Professional		$323.29	$559.15	$878.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.64 / $431.65 / $511.80	Facility		$319.64	$431.65	$511.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.32 / $378.58 / $498.79	Professional		$308.32	$378.58	$498.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $835.00 / $2,880.00	Facility		$512.00	$835.00	$2,880.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $530.69 / $884.07	Professional		$314.61	$530.69	$884.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.64 / $415.53 / $1,512.00	Professional		$319.64	$415.53	$1,512.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.87 / $3,750.00 / $3,750.00	Facility		$2,178.87	$3,750.00	$3,750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.11 / $487.34 / $823.60	Professional		$320.11	$487.34	$823.60
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.13 / $484.52 / $871.31	Professional		$324.13	$484.52	$871.31